| NPI | 1326492257 |
|---|---|
| Doing Business As | ST. LUKE'S FOGELSVILLE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | DEAN W EVANS President 484-526-4911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2016-04-18 |
| Last Update Date | 2019-04-03 |